Madhya Pradesh Shops & Establishments Act, 1958

Application for Establishment Registration

Docket No. 529608 Date of Application : 04/04/2017
Name of Applicant : VIVEK SHARMA
Father's / Husband's Name : MOHAN SHARMA

Applicant's Status : Proprietor/Owner

Mobile No. : 9301657410
Address of Applicant : KHASGI 8B-55 ASHOK COLONY LASHKAR GWALIOR M.P.
Name of Shop / Establishment : SHARMA TRADERS
Address: B-8/55 ASHOK COLONY KHASGI BAZAR District : GWALIOR
LASHKAR GWALIORM.P.
Shop Type (Employee Wise) : No Employees Day of Weekly Off : Sunday
Old Registration No. (if Any): Owner Type : Proprietorship
Business Type : Any Others Commercial Establishment
Category of Shop/Establishment : Commercial Establishment Business Start Date : 20/03/2017

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DECLARATION
I, VIVEK SHARMA S/o / D/o / W/o. Mr. MOHAN SHARMA do hereby solemnly affirm and declare that all information furnished by me
online and original documents scanned & uploaded by me along with this application are true to the best of my knowledge and belief and I shall
be responsible for any kind of false or fraudulent information and my Registration will be liable to be cancelled or withheld in any such case
without prior notice besides any other criminal/civil proceedings against me.

Signature of Applicant